To Evaluate the Role of H. pylori in Patients with Chronic Recurrent Tonsillitis

  • Suresh Mani
  • Assadi Rekha
  • Muthiah Kothanda Ramanujam Srinivasan
  • Venkatasubramanyam Bhanumathy
Original Article


The usual indication for surgical resection of tonsils is chronic recurrent tonsillitis. Literature also does not indicate the reason behind the fact that only part of the population suffers from recurrent chronic tonsillitis in spite being exposed to similar conditions. This was a prospective study, in which 50 tonsil biopsy samples obtained from chronic tonsillitis patients. Specimens were analysed with rapid urease broth test, HelicotecUT PLUS assay and Toluidine blue staining for presence of Helicobacter pylori. The age ranged from 4 to 34 years. The median age for patients with chronic recurrent tonsillitis was 9.5, 23 (46%) patients were male while 27 (54%) were female, presence of H. pylori by rapid urease broth test, HelicotecUT PLUS assay and Histopathology was 4%. Our analysis revealed that H. pylori did not significantly colonize the tonsils and does not play a role in the pathogenesis or development of chronic tonsillitis. The heterogeneity in study population and methodology may have contributed to the non significant results.


Tonsillitis Helicobacter pylori Toluidine blue Rapid urease test 


H. pylori

Helicobacter pylori




Mucosa associated lymphoid tissue








Group A beta hemolytic streptococcus


Compliance with Ethical Standards

Conflict of Interest

All authors declare that they have no conflict of interest.


No funding was received for this study

Informed Consent

Informed consent was obtained from all individual participants included in the study.

Ethical Approval

We have received ethical clearance from our institute ethical committee before starting the study.


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Copyright information

© Association of Otolaryngologists of India 2018

Authors and Affiliations

  • Suresh Mani
    • 1
  • Assadi Rekha
    • 1
  • Muthiah Kothanda Ramanujam Srinivasan
    • 1
  • Venkatasubramanyam Bhanumathy
    • 2
  1. 1.Department of ENT, Head and Neck SurgeryMeenakshi Medical College and Research InstituteEnathur, KanchipuramIndia
  2. 2.Department of PathologyMeenakshi Medical College and Research InstituteKanchipuramIndia

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